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Drive Awake · Sleep Science

Sleepiness at the Wheel

One of the leading invisible causes of road accidents. Reduced vigilance impairs reflexes and decision-making in ways that laboratory studies have compared to alcohol - yet cannot be measured at accident scenes.

Road Safety · Priority Focus
Published: 25.06.2026
Last revision: 19.07.2026
19.07.2026OG image redrawn in the series style
Sleepiness at the Wheel

Up to 30% of serious accidents in evening and night hours are linked to sleepiness (Prof. Mauro Manconi, EOC).

How it works

The brain drifts out of wakefulness gradually. Microsleeps lasting a few seconds appear, and lane-keeping deteriorates. You can usually feel sleepiness coming: in a driving simulator, young drivers coming off a short night never fell asleep without first feeling it build for a long time (Reyner and Horne 1998, DOI 10.1007/s004140050131). The risk is not giving it the weight it deserves.

On the road

Unlike alcohol, sleepiness has no breathalyser. It leaves no measurable trace at accident scenes. This forensic gap is one of the core problems Drive Awake addresses.

Drive Awake connection

In the Quinto case (A2, 2016), an experienced driver had severe obstructive sleep apnoea, diagnosed after the crash. The criminal proceedings ended in an acquittal, which implies no broader conclusion about what happened. Sleep apnoea can be diagnosed with a sleep study; what is still missing today is a roadside test for sleepiness.

IRM Zürich - Journal of Proteome Research, June 2026. DOI: 10.1021/acs.jproteome.5c01064 · Reyner LA, Horne JA - Falling asleep whilst driving: are drivers aware of prior sleepiness? Int J Legal Med, 1998. DOI 10.1007/s004140050131

Video · The Monte Verità voices

The voices of the science

The World Sleep Forum video interviews that speak to this section's themes: sleepiness, disorders, sleep deprivation. Each voice goes online only with a signed authorisation.

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